Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.28 / $9,639.00 / $20,509.00	Facility		$1,040.28	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.69 / $1,040.28 / $4,905.80	Professional		$881.69	$1,040.28	$4,905.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,250.00 / $17,234.45	Facility		$2,456.00	$7,250.00	$17,234.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,063.47 / $1,392.44 / $2,724.38	Professional		$1,063.47	$1,392.44	$2,724.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $15,638.77	Facility		$64.20	$100.00	$15,638.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $656.46 / $1,011.18 / $2,483.11	Professional		$656.46	$1,011.18	$2,483.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.58 / $1,214.49 / $3,703.04	Professional		$901.58	$1,214.49	$3,703.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $754.65 / $1,040.36 / $1,248.44	Professional		$754.65	$1,040.36	$1,248.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.33 / $1,196.43 / $2,123.15	Professional		$933.33	$1,196.43	$2,123.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,865.28 / $8,685.20	Facility		$55.00	$6,865.28	$8,685.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,127.82 / $7,127.82 / $7,747.88	Professional		$7,127.82	$7,127.82	$7,747.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $993.85 / $1,256.66 / $1,744.20	Facility		$993.85	$1,256.66	$1,744.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $922.45 / $1,217.16 / $2,632.56	Professional		$922.45	$1,217.16	$2,632.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,043.95 / $3,043.95 / $3,043.95	Professional		$3,043.95	$3,043.95	$3,043.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $754.65 / $1,131.98 / $1,427.51	Professional		$754.65	$1,131.98	$1,427.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $753.48 / $1,144.10 / $3,125.91	Professional		$753.48	$1,144.10	$3,125.91